Individual
AMY MARIE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 BOULDER POINT DR STE 1, PLYMOUTH, NH 03264-3170
(603) 536-4000
(603) 536-4001
Mailing address
213 FAIRGROUNDS RD, PLYMOUTH, NH 03264-3228
(603) 953-3778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
062717-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
062717-23
NH
Other
Enumeration date
06/07/2017
Last updated
11/08/2022
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